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de Farias VF, Soares LA, Aranha LN, Luiz RR, de Oliveira GMM, Rosa G. Social vulnerability and cardiovascular risk factors in adolescents. BMC Public Health 2024; 24:982. [PMID: 38589841 PMCID: PMC11000392 DOI: 10.1186/s12889-023-16959-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 10/11/2023] [Indexed: 04/10/2024] Open
Abstract
BACKGROUND Social vulnerability can influence in the development of cardiovascular risk factors in adolescents (CRF). For this reason, the objective of our study was to evaluate the presence of CRF in adolescents, according to social vulnerability. METHODS This is a cross-sectional study with 517 adolescents of both sexes, from 10 to 19 years of age, classified into 2 groups by social vulnerability, according to socioeconomic characteristics collected by means of questionnaires, where adolescents who did not have access to drinking water, sewage network, and adequate per capita income were classified as vulnerable. Anthropometric, biochemical, and blood pressure data were evaluated. Level of physical activity was assessed by an adapted questionnaire, and food intake was assessed by a 3-day food record. Independent T, Mann-Whitney, and χ2 tests were used, according to the scale of measurement of the variables, on the statistical program SPSS, version 25, at a significance level of 5%. RESULTS Adolescents had median age of 14 (11 to 15) years; 58.4% were female; 32.4% were overweight, and 52.4% were physically inactive in leisure. Mean consumption of ultra-processed food was observed to account for 45.0% of calorie intake. Adolescents classified as vulnerable had lower weight, body mass index, waist circumference, hip circumference, and neck circumference when compared to non-vulnerable adolescents. Both groups had cholesterol concentrations above the normal level. Non-vulnerable adolescents had higher triglyceride concentrations, higher alcohol consumption, and lower fiber intake compared to vulnerable adolescents. CONCLUSIONS Adolescents with social vulnerability are less likely to have cardiovascular risk factors.
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Affiliation(s)
- Viviane Freire de Farias
- Postgraduate Program in Medicine (Cardiology), Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Larissa Almenara Soares
- Department of Nutrition and Dietetics, Josué de Castro Nutrition Institute, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Luciana Nicolau Aranha
- Postgraduate Program in Medicine (Cardiology), Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Ronir Raggio Luiz
- Institute for Studies in Collective Health, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Gláucia Maria Moraes de Oliveira
- Postgraduate Program in Medicine (Cardiology), Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
- Universidade Federal do Rio de Janeiro, UFRJ, Cidade Universitária, R. Prof. Rodolpho P. Rocco, 255 - 8, Andar Sala 6, Rio de Janeiro, RJ, Brazil.
| | - Glorimar Rosa
- Postgraduate Program in Medicine (Cardiology), Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
- Department of Nutrition and Dietetics, Josué de Castro Nutrition Institute, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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Machado SP, Bezerra IN, Silva MA, D’oran MHL, Cunha DB, Moreno LA, Sichieri R. Evolution of adolescents' dietary patterns in Northeast Brazil from 2008 to 2018. Rev Saude Publica 2024; 58:05. [PMID: 38381895 PMCID: PMC10878684 DOI: 10.11606/s1518-8787.2024058005090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 08/29/2023] [Indexed: 02/23/2024] Open
Abstract
OBJECTIVE To evaluate the evolution of the dietary patterns of adolescents in the northeast region of Brazil. METHODS Secondary analysis of data from the Pesquisa de Orçamentos Familiares (POF - Household Budget Surveys), collected by the Brazilian Institute of Geography and Statistics (IBGE) in the years 2008-2009 and 2017-2018. A total of 3,095 adolescents were evaluated in 2008-2009 and 3,015 in 2017-2018. Food consumption was assessed using two dietary records in 2008-2009 and two 24-hour recalls in 2017-2018, applied on non-consecutive days. Based on these data, principal components factor analysis (PCFA) was performed, followed by orthogonal rotation of the varimax type, to derive dietary patterns, stratified by sex. The results were described as means or percentage frequencies, with their respective 95% confidence intervals. RESULTS Three main dietary patterns were identified among adolescents from the northeast region of Brazil. Among boys, in 2008-2009, the patterns were called snacks, traditional Brazilian, and coffee; and in 2017-2018, traditional Brazilian, snacks, and mixed, in this order of representativeness of the group's eating habits. Among female adolescents, in 2008-2009, the patterns were snacks, traditional Brazilian, and coffee; and in 2017-2018, traditional Brazilian, snacks, and processed meats. CONCLUSION The dietary patterns identified in 2008-2009 and 2017-2018 were similar in both genders; however, the snacks pattern, which explained most of the data variability in 2008-2009, was replaced by the traditional Brazilian.
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Affiliation(s)
- Soraia Pinheiro Machado
- Universidade Estadual do CearáCentro de Ciências da SaúdeFortalezaCEBrazil Universidade Estadual do Ceará. Centro de Ciências da Saúde. Fortaleza, CE, Brazil
| | - Ilana Nogueira Bezerra
- Universidade Estadual do CearáCentro de Ciências da SaúdeFortalezaCEBrazil Universidade Estadual do Ceará. Centro de Ciências da Saúde. Fortaleza, CE, Brazil
| | - Mariane Alves Silva
- Universidade Federal de Mato GrossoFaculdade de NutriçãoCuiabáMTBrazil Universidade Federal de Mato Grosso. Faculdade de Nutrição. Cuiabá, MT, Brazil
| | - Maria Helena Lima D’oran
- Universidade Estadual do CearáCentro de Ciências da SaúdeFortalezaCEBrazil Universidade Estadual do Ceará. Centro de Ciências da Saúde. Fortaleza, CE, Brazil
| | - Diana Barbosa Cunha
- Universidade do Estado do Rio de JaneiroDepartamento de EpidemiologiaRio de JaneiroRJBrazil Universidade do Estado do Rio de Janeiro. Departamento de Epidemiologia. Rio de Janeiro, RJ, Brazil
| | - Luis Alberto Moreno
- Universidad de ZaragozaFacultad de Ciencias de la SaludZaragozaSpain Universidad de Zaragoza. Facultad de Ciencias de la Salud. Zaragoza, Spain
| | - Rosely Sichieri
- Universidade do Estado do Rio de JaneiroDepartamento de EpidemiologiaRio de JaneiroRJBrazil Universidade do Estado do Rio de Janeiro. Departamento de Epidemiologia. Rio de Janeiro, RJ, Brazil
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Ribeiro GJ, Mendes AEP, Costa EDA, Carvalho DV. Trends in food consumption by adults in a Brazilian northeastern state. J Taibah Univ Med Sci 2023; 18:1261-1267. [PMID: 37275955 PMCID: PMC10238831 DOI: 10.1016/j.jtumed.2023.04.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 04/15/2023] [Accepted: 04/29/2023] [Indexed: 06/07/2023] Open
Abstract
Objective The economic and political crisis experienced by Brazil, together with the COVID-19 pandemic, may have negatively impacted the food consumption of Brazilian families over recent years. This study aimed to analyze trends in food consumption among adults in a Brazilian northeastern state. Methods This was an epidemiological study which involved the analysis of data from the Food and Nutrition Surveillance System (SISVAN) relating to the food consumption of adults (20-59 years-of-age) in the state of Ceará in 2015 and 2020. Data are presented by frequency distribution. Results In the year 2015-2020, the food consumption of 14,840 adults were registered in SISVAN. There was evidence of a decline in the habit of having three main meals a day (-63.5%), mainly among women (-67.9%). Between 2015 and 2020, there was a decline in the consumption of beans (-7.4%) and an increase in the consumption of fruits (68.2%) and vegetables (82.9%). When considering ultra-processed foods, there was a significant increase in the consumption of hamburgers and sausages (83.3%), cookies (39.1%) and sweetened beverages (25.5%). Conclusions Our findings indicate that the habit of having three main meals a day decreased between 2015 and 2020 in the adult population of Ceará, as determined by public data available in SISVAN, especially among women. In addition, there was an increase in the consumption of ultra-processed foods. Therefore, health interventions aimed at nutritional education and the fight against hunger are essential to face these challenges that affect society.
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Affiliation(s)
- Guilherme J. Ribeiro
- Graduate Program in Cardiology and Cardiovascular Sciences, Federal University of Rio Grande do Sul – UFRGS, Porto Alegre, RS, Brazil
| | - Ana Erbênia P. Mendes
- Graduate Program in Gastronomy, Federal University of Ceará – UFC, Fortaleza, CE, Brazil
| | | | - Diana V. Carvalho
- Graduate Program in Gastronomy, Federal University of Ceará – UFC, Fortaleza, CE, Brazil
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Lima LJS, da Consolação Soares ME, Moreira LV, Ramos-Jorge J, Ramos-Jorge ML, Marques LS, Fernandes IB. Family income modifies the association between frequent sugar intake and dental caries. Int J Paediatr Dent 2023; 33:535-542. [PMID: 36704857 DOI: 10.1111/ipd.13053] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 01/09/2023] [Accepted: 01/19/2023] [Indexed: 01/28/2023]
Abstract
AIM The aim of this cross-sectional study was to investigate whether family income modifies associations between dental caries and sex, age, mother's education, type of preschool, sugar intake, and toothbrushing. BACKGROUND Dental caries is a multifactorial dyanamic disease primarily mediated by biofilm and sugar. DESIGN A randomly selected sample of 308 Brazilian preschool children aged 1-3 years underwent a clinical oral examination for the assessment of moderate/extensive dental caries using codes 3-6 of the International Caries Detection and Assessment System. Mothers were asked to fill out a form addressing the child's demographic and socioeconomic characteristics as well as the frequency of sugar intake. Statistical analysis involved descriptive statistics, the chi-squared test, and Poisson regression models. RESULTS The prevalence of moderate/extensive dental caries was 42.5%. The adjusted model revealed that within low-income families (<2 times the monthly minimum wage), the prevalence of dental caries was higher among children with a high frequency of sugar intake (≥ twice per day) than in those with a low frequency of sugar intake (< twice a day) (RR = 1.79; CI: 1.38-2.33). In families with higher income (≥2 times the monthly wage), no significant association between sugar intake and dental caries was, however, found. CONCLUSIONS In conclusion, monthly family income can modify the association between the high frequency of sugar intake and dental caries.
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Affiliation(s)
- Laura Jordana Santos Lima
- Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Maria Eliza da Consolação Soares
- Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Luana Viviam Moreira
- Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Joana Ramos-Jorge
- Department of Child and Adolescent Oral Health, Pediatric Dentistry., Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Maria Letícia Ramos-Jorge
- Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Leandro Silva Marques
- Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | - Izabella Barbosa Fernandes
- Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
- Department of Child and Adolescent Oral Health, Pediatric Dentistry., Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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Ribeiro ECDS, Cherol CCDS, da Costa RS, de Castro PCP, Ferreira AA. Food insecurity and social inequalities in households headed by older people in Brazil: a secondary cross-sectional analysis of a national survey. BMC Public Health 2023; 23:1424. [PMID: 37491194 PMCID: PMC10369831 DOI: 10.1186/s12889-023-16332-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Accepted: 07/18/2023] [Indexed: 07/27/2023] Open
Abstract
BACKGROUND The presence of food insecurity in households headed by older people is related to social inequalities. The objective of this study was to analyze the prevalence and factors associated with moderate/severe food insecurity in households headed by older people. METHODS A cross-sectional study based on a nationally representative sample of older adults aged ≥ 60 years was conducted using data from the 2017/2018 Family Budget Survey. In the study, moderate/severe food insecurity was the dependent variable, with food insecurity assessed with the Brazilian Household Food Insecurity Measurement Scale. Prevalence and odds ratio estimates were generated with 99% confidence intervals. Data analysis was performed using STATA software. FINDINGS A total of 16,314 households headed by older people were identified. Approximately 10.1% of these households were in the moderate/severe range for food insecurity. The majority are female (11.9%)and self-declared indigenous people (25.5%), with a lack of schooling (18.3%) and a per capita income of up to half of one minimum wage (29.6%). The analysis model found that color/race, region, schooling, per capita household income, and social benefits received in the household were statistically significant factors (p value < 0.01). CONCLUSION Moderate/severe food insecurity in households headed by older people is associated with the pronounced social inequalities present in Brazil, and these findings intensify the need for additional study of the challenges faced by this age group.
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Affiliation(s)
- Eloah Costa de Sant'Anna Ribeiro
- Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Avenida Carlos Chagas Filho, 373, Bloco J, 2° andar, sala 18 - Cidade Universitária, Rio de Janeiro (RJ), CEP: 21941-902, Brazil.
| | - Camilla Christine de Souza Cherol
- Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Avenida Carlos Chagas Filho, 373, Bloco J, 2° andar, sala 18 - Cidade Universitária, Rio de Janeiro (RJ), CEP: 21941-902, Brazil
| | - Rosana Salles da Costa
- Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Avenida Carlos Chagas Filho, 373, Bloco J, 2° andar, sala 18 - Cidade Universitária, Rio de Janeiro (RJ), CEP: 21941-902, Brazil
| | - Paulo Cesar Pereira de Castro
- Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Avenida Carlos Chagas Filho, 373, Bloco J, 2° andar, sala 18 - Cidade Universitária, Rio de Janeiro (RJ), CEP: 21941-902, Brazil
| | - Aline Alves Ferreira
- Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Avenida Carlos Chagas Filho, 373, Bloco J, 2° andar, sala 18 - Cidade Universitária, Rio de Janeiro (RJ), CEP: 21941-902, Brazil
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Lopes SO, Abrantes LCS, Azevedo FM, de Morais NDS, Morais DDC, Gonçalves VSS, Fontes EAF, Franceschini SDCC, Priore SE. Food Insecurity and Micronutrient Deficiency in Adults: A Systematic Review and Meta-Analysis. Nutrients 2023; 15:nu15051074. [PMID: 36904074 PMCID: PMC10005365 DOI: 10.3390/nu15051074] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Revised: 02/10/2023] [Accepted: 02/15/2023] [Indexed: 02/24/2023] Open
Abstract
Food insecurity is a public health problem as it affects a wide array of individuals in the population. It can be characterized by food deprivation, lack of essential nutrition, lack of dietary education, lack of adequate storage conditions, poor absorption, and poor overall nutrition. The relationship between food insecurity and micronutrient deficiency requires more effort to deepen and discuss the relationship. This systematic review aimed to evaluate the association between food insecurity and micronutrient deficiency in adults. The research was conducted according to PRISMA using the Medline/Pubmed, Lilacs/BVS, Embase, Web of Science, and Cinahl databases. Studies carried out with male and female adults were included, which investigated the correlation or association between food insecurity and the nutritional status of micronutrients. There were no publication year, country, or language restrictions. A total of 1148 articles were found, and 18 of these were included, carried out mainly on the American continent and with women. The most evaluated micronutrients were iron and vitamin A. Food insecurity was associated with nutrient deficiency in 89% (n = 16) of the studies. As a result of the meta-analysis, it was observed that there is a greater chance of anemia and low levels of ferritin among food insecure individuals. It is concluded that food insecurity is associated with micronutrient deficiency. Understanding these problems allows the creation of public policies capable of contributing to changes. Protocol registration: This review was registered on the PROSPERO-International Prospective Register of Systematic Reviews database-CRD42021257443.
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Martins MC, Gabriel CG, Machado ML, Machado PMDO, Soar C, Longo GZ. Brazilian National Food and Nutritional Security System: what are the similarities in the decentralization process? CAD SAUDE PUBLICA 2023; 39:e00131022. [PMID: 37098973 DOI: 10.1590/0102-311xen131022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 02/02/2023] [Indexed: 04/27/2023] Open
Abstract
This study aimed to analyze the multiple characteristics of the decentralization of the Brazilian National Food and Nutritional Security System (SISAN) in a period before the institutional dismantling. Data from the 26 Brazilian states were collected in two public information systems, referring to the years 2017/2018. An exploratory and descriptive study was performed using a hierarchical cluster analysis, based on an analysis model with multiple characteristics of the system decentralization. The results indicated the formation of three clusters, showing the similarity among states with greater intersectoral and participatory character, better relationship with municipalities, and allocation of resources. On the other hand, states with less intersectoral and participatory character, linked to the low allocation of resources, execution of food security actions, and municipal support were clustered. These clusters composed mainly of North and Northeastern states, with a lower Gross Domestic Product, average Human Development Index, and a higher occurrence of food insecurity, expressed characteristics that may be related to greater obstacles in the system decentralization process. This information can help in the decision-making about the SISAN in a more equitable manner, supporting the actors involved in its maintenance and defense, at a time when the country presents an austere political and economic situation, marked by the progressive worsening of food insecurity.
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Affiliation(s)
- Milena Corrêa Martins
- Programa de Pós-graduação em Nutrição, Universidade Federal de Santa Catarina, Florianópolis, Brasil
- Teia de Articulação pelo Fortalecimento da Segurança Alimentar e Nutricional, Universidade Federal de Santa Catarina, Florianópolis, Brasil
| | - Cristine Garcia Gabriel
- Programa de Pós-graduação em Nutrição, Universidade Federal de Santa Catarina, Florianópolis, Brasil
| | - Mick Lennon Machado
- Programa de Pós-graduação em Nutrição, Universidade Federal de Santa Catarina, Florianópolis, Brasil
| | | | - Claudia Soar
- Departamento de Nutrição, Universidade Federal de Santa Catarina, Florianópolis, Brasil
| | - Giana Zarbato Longo
- Departamento de Nutrição, Universidade Federal de Santa Catarina, Florianópolis, Brasil
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Madariaga MLP, Haack A, Beckmann LGD, Horino AMN. ANÁLISE DO ESTADO NUTRICIONAL E FATORES DE RISCO EM PACIENTES PEDIÁTRICOS COM ESTOMIA INTESTINAL. ESTIMA 2022. [DOI: 10.30886/estima.v20.1208_pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Objetivo:Avaliar o estado nutricional, o consumo alimentar e os fatores de risco nutricionais, clínicos e sociais de pacientes pediátricos estomizados atendidos ambulatoriamente em um hospital público de Brasília (DF). Método: Trata-se de um estudo de caráter transversal, quantitativo e analítico realizado com crianças estomizadas, de ambos os sexos, menores de 10 anos de idade. Foi feito o diagnóstico do estado nutricional utilizando diversos instrumentos de avaliação nutricional e avaliado o consumo alimentar. Resultados: No total compareceram 24 crianças com a idade média de 10,29 meses. A estomia mais encontrada foi a colostomia (54%), sendo o motivo mais frequente para a confecção do estoma a anomalia anorretal. Foram encontradas frequências elevadas de déficits nutricionais. A associação entre estado nutricional e o motivo da confecção do estoma apresentou significância estatística (p = 0,036). Conclusão: A causa de base para a confecção do estoma pode levar ao comprometimento do estado nutricional. Foram encontradas frequências elevadas de déficits nutricionais, uma vez que parte das crianças estava abaixo da linha de magreza. A maioria dos pacientes faz uso de fórmulas infantis especializadas. Foi possível observar alto consumo de alimentos ultraprocessados nas crianças que já iniciaram a alimentação com sólidos.
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Pequeno NPF, Cabral NLDA, Oliveira ÂGRC, Crispim SP, Rocha C, Marchioni DM, Lima SCVC, Lyra CDO. Chronic diseases and emotional disorders are associated with low perception of quality of life in food insecurity/security. Front Public Health 2022; 10:893601. [PMID: 35923966 PMCID: PMC9340216 DOI: 10.3389/fpubh.2022.893601] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Accepted: 06/28/2022] [Indexed: 11/13/2022] Open
Abstract
Understanding individual perception of Quality of Life (QoL) can help combat social and health inequalities. We aimed to identify factors associated with Low Perceived Quality of Life (LPQoL) in 295 adults and older adults with food security and food insecurity, in the city of Natal, Brazil. A cross-sectional study was conducted from June to December 2019, with collection of data on socioeconomic demographic status, lifestyle information, non-communicable diseases (NCDs) and risk factors, emotional disorders, food (in) security and quality of life. To assess food insecurity, the Brazilian Scale of Food Insecurity—EBIA was used, and the WHOQOL-Bref questionnaire was used to assess quality of life. Poisson's Regression was used to verify associations between variables and LPQoL, stratifying the sample into food secure (FS) and food insecure (FI) groups. In the FI group, being overweight, older adult, having no partner, drinking alcoholic beverages twice a week or more, and not having daily availability of water were associated with LPQoL, and in the FS group, having diabetes, monthly family income in the 1st and 2nd tertiles, and never having studied was associated with LPQoL. Reporting emotional disorders and sleeping < 7 h/day were associated with LPQoL in both FI and FS groups. LPQoL was associated with the occurrence of NCDs and risk factors, and emotional disorders, regardless of the food security measure. However, the lack of adequate access to water highlights the social vulnerability of the FI group.
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Affiliation(s)
- Nila Patrícia Freire Pequeno
- Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal, Brazil
- Department of Nutrition, Federal University of Rio Grande do Norte, Natal, Brazil
- *Correspondence: Nila Patrícia Freire Pequeno
| | - Natália Louise de Araújo Cabral
- Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal, Brazil
- Federal Institute of Education, Science and Technology of Sertão Pernambucano, Petrolina, Brazil
| | | | | | - Cecília Rocha
- School of Nutrition, Centre for Studies in Food Security, Ryerson University, Toronto, ON, Canada
| | - Dirce Maria Marchioni
- Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil
| | | | - Clélia de Oliveira Lyra
- Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal, Brazil
- Department of Nutrition, Federal University of Rio Grande do Norte, Natal, Brazil
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Vale D, Santos TTD, Dantas RF, Cabral NLDA, Lyra CDO, Oliveira AGRDC. Social determinants of health associated with the experience of hunger among Brazilian adolescents. CIENCIA & SAUDE COLETIVA 2022; 27:2895-2909. [PMID: 35730855 DOI: 10.1590/1413-81232022277.17792021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Accepted: 12/16/2021] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to identify social determinants of health associated with the experience of hunger among school-age adolescents in Brazil. We conducted a cross-sectional study with a sample of 16,526 adolescents using data from the 2015 National School-based Student Health Survey. Experience of hunger was determined based on the answer to the question "In the last 30 days, how often have you been hungry because there wasn't enough food at home?" The social determinants of health were analyzed using Poisson regression with robust variance. The prevalence of the experience of hunger was 22.8% (95%CI: 21.9-23.7). The experience of hunger was directly associated with being male (PR = 1.12; 95%CI: 1.07-1.16); not being overweight (PR = 1.08; 95%CI: 1.04-1.13 ); irregular consumption of beans (PR = 1.20; 95%CI: 1.13-1.26), vegetables (PR=1.16; 95%CI: 1.09-1.22) and fruit (PR = 1.19; 95%CI: 1.13-1.24); body dissatisfaction (PR = 1.26; 95%CI: 1.18-1.35); and not regularly eating lunch or dinner with parents or guardians (PR = 1.41; 95%CI: 1.32-1.52). An inverse association was found between the experience of hunger and maternal education level and living in the Mid-West, Southeast and South. The findings show that the experience of hunger among Brazilian adolescents coexists with risky eating behaviors, body dissatisfaction, and social inequality.
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Affiliation(s)
- Diôgo Vale
- Programa de Pós-Graduação em Saúde Coletiva, Instituto Federal de Educação, Ciência e Tecnologia do Rio Grande do Norte, Universidade Federal do Rio Grande do Norte (UFRN). R. Manoel Lopes Filho 773, Valfredo Galvão. 59380-000 Currais Novos RN Brasil.
| | - Thais Teixeira Dos Santos
- Programa de Pós-Graduação em Saúde Coletiva, Instituto Federal de Educação, Ciência e Tecnologia do Rio Grande do Norte, Universidade Federal do Rio Grande do Norte (UFRN). R. Manoel Lopes Filho 773, Valfredo Galvão. 59380-000 Currais Novos RN Brasil.
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Santos SFMD, Costa ACCD, Araújo RGPDS, Silva LAT, Gama SGND, Fonseca VDM. Factors associated with the adequacy of gestational weight gain among Brazilian teenagers. CIENCIA & SAUDE COLETIVA 2022; 27:2629-2642. [PMID: 35730834 DOI: 10.1590/1413-81232022277.17812021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Accepted: 12/03/2021] [Indexed: 11/21/2022] Open
Abstract
The scope of this article is to evaluate the adequacy of total gestational weight gain (GWG) according to maternal characteristics of Brazilian adolescents. It involved a cross-sectional, hospital-based study. A total of 3,904 teenagers with a single fetus gestation and gestational age (GA) at birth ≥ 37 weeks were included. A hierarchical model was built to analyze the dependent and independent variables adequacy of GWG: sociodemographic, care, obstetric and behavioral characteristics. The chances of insufficient GWG were higher for adolescents from the North (OR = 1.50, 95%CI: 1.07-2.10) and Northeast (OR = 1.68, 95%CI: 1.27-2.21). Paid work increased the chances of insufficient (95%CI: 1.15-2.39) and excessive (95%CI: 1.01-1.86) GWG. The pre-pregnancy body mass index of overweight or obese adolescents was associated with excessive GWG (OR = 1.86, 95%CI: 1.19-2.92 and OR = 3.06, 95%CI: 2.10-4.45, respectively), as well as GA ≥ 42 weeks (OR = 2.23, 95%CI: 1.03-4.81). Living in the North and Northeast regions increases the chances of adolescents having insufficient GWG. Having paid work was associated with a greater chance of excessive and insufficient GWG. Furthermore, pre-pregnancy excess weight or obesity and GA ≥ 42 weeks increased the chances of excessive GWG.
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Affiliation(s)
- Samira Fernandes Morais Dos Santos
- Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz. Av. Rui Barbosa 716, Flamengo. 22250-020 Rio de Janeiro RJ Brasil.
| | - Ana Carolina Carioca da Costa
- Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz. Av. Rui Barbosa 716, Flamengo. 22250-020 Rio de Janeiro RJ Brasil.
| | | | - Laís Araújo Tavares Silva
- Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz. Av. Rui Barbosa 716, Flamengo. 22250-020 Rio de Janeiro RJ Brasil.
| | | | - Vania de Matos Fonseca
- Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz. Av. Rui Barbosa 716, Flamengo. 22250-020 Rio de Janeiro RJ Brasil.
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Food Insecurity and Associated Factors in Brazilian Undergraduates during the COVID-19 Pandemic. Nutrients 2022; 14:nu14020358. [PMID: 35057539 PMCID: PMC8780004 DOI: 10.3390/nu14020358] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Revised: 01/07/2022] [Accepted: 01/08/2022] [Indexed: 12/17/2022] Open
Abstract
Undergraduates may face challenges to assure food security, related to economic and mental distress, especially during the COVID-19 pandemic. This study aimed to assess food insecurity and its associated factors in undergraduates during the COVID-19 pandemic. An online cross-sectional study was conducted from August 2020 to February 2021 with 4775 undergraduates from all Brazilian regions. The questionnaire contained socio-economic variables, the validated Brazilian food insecurity scale, and the ESQUADA scale to assess diet quality. The median age of the students was 22.0 years, and 48.0% reported income decreasing with the pandemic. Food insecurity was present in 38.6% of the students, 4.5% with severe food insecurity and 7.7% moderate. Logistic regressions showed students with brown and black skin color/race presented the highest OR for food insecurity; both income and weight increase or reduction during the pandemic was also associated with a higher OR for food insecurity, and better diet quality was associated with decreased OR for food insecurity. Our study showed a considerable presence of food insecurity in undergraduates. Policy for this population must be directed to the most vulnerable: those with brown and black skin color/race, who changed income during the pandemic, and those presented with difficulties maintaining weight and with poor diet quality.
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Santos SFMD, Costa ACCD, Araújo RGPDS, Silva LAT, Gama SGND, Fonseca VDM. Factors associated with the adequacy of gestational weight gain among Brazilian teenagers. CIENCIA & SAUDE COLETIVA 2022. [DOI: 10.1590/1413-81232022277.17812021en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract The scope of this article is to evaluate the adequacy of total gestational weight gain (GWG) according to maternal characteristics of Brazilian adolescents. It involved a cross-sectional, hospital-based study. A total of 3,904 teenagers with a single fetus gestation and gestational age (GA) at birth ≥ 37 weeks were included. A hierarchical model was built to analyze the dependent and independent variables adequacy of GWG: sociodemographic, care, obstetric and behavioral characteristics. The chances of insufficient GWG were higher for adolescents from the North (OR = 1.50, 95%CI: 1.07-2.10) and Northeast (OR = 1.68, 95%CI: 1.27-2.21). Paid work increased the chances of insufficient (95%CI: 1.15-2.39) and excessive (95%CI: 1.01-1.86) GWG. The pre-pregnancy body mass index of overweight or obese adolescents was associated with excessive GWG (OR = 1.86, 95%CI: 1.19-2.92 and OR = 3.06, 95%CI: 2.10-4.45, respectively), as well as GA ≥ 42 weeks (OR = 2.23, 95%CI: 1.03-4.81). Living in the North and Northeast regions increases the chances of adolescents having insufficient GWG. Having paid work was associated with a greater chance of excessive and insufficient GWG. Furthermore, pre-pregnancy excess weight or obesity and GA ≥ 42 weeks increased the chances of excessive GWG.
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Vale D, Santos TTD, Dantas RF, Cabral NLDA, Lyra CDO, Oliveira AGRDC. Social determinants of health associated with the experience of hunger among Brazilian adolescents. CIENCIA & SAUDE COLETIVA 2022. [DOI: 10.1590/1413-81232022277.17792021en] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract The aim of this study was to identify social determinants of health associated with the experience of hunger among school-age adolescents in Brazil. We conducted a cross-sectional study with a sample of 16,526 adolescents using data from the 2015 National School-based Student Health Survey. Experience of hunger was determined based on the answer to the question “In the last 30 days, how often have you been hungry because there wasn’t enough food at home?” The social determinants of health were analyzed using Poisson regression with robust variance. The prevalence of the experience of hunger was 22.8% (95%CI: 21.9-23.7). The experience of hunger was directly associated with being male (PR = 1.12; 95%CI: 1.07-1.16); not being overweight (PR = 1.08; 95%CI: 1.04-1.13 ); irregular consumption of beans (PR = 1.20; 95%CI: 1.13-1.26), vegetables (PR=1.16; 95%CI: 1.09-1.22) and fruit (PR = 1.19; 95%CI: 1.13-1.24); body dissatisfaction (PR = 1.26; 95%CI: 1.18-1.35); and not regularly eating lunch or dinner with parents or guardians (PR = 1.41; 95%CI: 1.32-1.52). An inverse association was found between the experience of hunger and maternal education level and living in the Mid-West, Southeast and South. The findings show that the experience of hunger among Brazilian adolescents coexists with risky eating behaviors, body dissatisfaction, and social inequality.
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Affiliation(s)
- Diôgo Vale
- Universidade Federal do Rio Grande do Norte, Brazil
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Fideles IC, Akutsu RDCCDA, Barroso RDRF, Costa-Souza J, Zandonadi RP, Raposo A, Botelho RBA. Food Insecurity among Low-Income Food Handlers: A Nationwide Study in Brazilian Community Restaurants. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:1160. [PMID: 33525563 PMCID: PMC7908291 DOI: 10.3390/ijerph18031160] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 01/21/2021] [Accepted: 01/26/2021] [Indexed: 11/16/2022]
Abstract
This study aims to evaluate food insecurity (FI) among Brazilian Community restaurant food handlers and its associated factors. This cross-sectional study was performed with a representative sample of 471 food handlers working in community restaurants (CR) from all Brazilian regions. Participants are mostly female (62.2%), ≤40 years old (67.7%), with a partner (52.0%), and with up to eight years of education (54.1%). Predictors of participants' socioeconomic status and CR geographic location are associated with the household food insecurity categories (p < 0.05). The predictors of socioeconomic conditions are associated with mild and moderate/severe FI category. Workers with less education are twice as likely to belong to the category with the highest FI severity. Lower per capita household income increased the chances of belonging to the mild insecurity category by 86%. It more than doubled the chance to be in the category of moderate/severe insecurity. Predictors of health status, lifestyle, and work are not associated with any multinomial outcome categories. However, working in the South, Southeast, or Midwest regions of Brazilian decreased the chances of belonging to one of the FI categories, with significance only for the mild category. Variables that show an association for this population are per capita household income for the different levels of FI and the CR region for mild FI. A high prevalence of FI in this population points to the need for more studies with low-income workers to prevent FI and its health consequences.
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Affiliation(s)
- Ingrid C. Fideles
- Department of Food Science, School of Nutrition, Federal University of Bahia, Salvador 40110-150, Brazil; (I.C.F.); (R.d.R.F.B.); (J.C.-S.)
| | | | - Rosemary da Rocha Fonseca Barroso
- Department of Food Science, School of Nutrition, Federal University of Bahia, Salvador 40110-150, Brazil; (I.C.F.); (R.d.R.F.B.); (J.C.-S.)
| | - Jamacy Costa-Souza
- Department of Food Science, School of Nutrition, Federal University of Bahia, Salvador 40110-150, Brazil; (I.C.F.); (R.d.R.F.B.); (J.C.-S.)
| | - Renata Puppin Zandonadi
- Department of Nutrition, Faculty of Health Sciences, University of Brasilia, Brasilia 70910-900, Brazil; (R.P.Z.); (R.B.A.B.)
| | - António Raposo
- CBIOS (Research Center for Biosciences and Health Technologies), Universidade Lusófona de Humanidades e Tecnologias, Campo Grande 376, 1749-024 Lisboa, Portugal
| | - Raquel Braz Assunção Botelho
- Department of Nutrition, Faculty of Health Sciences, University of Brasilia, Brasilia 70910-900, Brazil; (R.P.Z.); (R.B.A.B.)
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